Company Name (*)

Please enter the name of your company.
Owner - Manager (*)

Please enter the name of the owner/manager.
Type of Business (*)

Please indicate your type of business
Street Address (*)

Please enter the street address for your business
Mailing Address (*)

Please enter your mailing address.
Town (*)

Please enter your town or comunity
Province (*)

Please enter only letters
Postal Code (*)

Please enter only letters and numbers.
Phone

Please enter your business phone number.
Fax

Please enter you fax number.
Cell

Please enter your business cell number.
Email

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Web Site ( include the 'http://' )

Please enter the web site address for your company. Please include the "http://"
Number of Employees

Please enter the number of employees.
Designated Representative for Chamber Communications (*)

Please enter the name of the person who will receive communications from the Chamber.

Membership Fee Structure

# Employees	Dues	HST	Total
1	50.00	7.50	57.50
2 - 6	125.00	18.75	143.75
7 - 15	180.00	27.00	207.00
16 - 30	215.00	32.25	247.25
31 - 50	250.00	37.50	287.50
51++	285.00	42.75	327.75

You will be contacted to arrange your payment.



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